Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PHTH 565 - Rheumatology > Physical Ax in RA > Flashcards

Physical Ax in RA Flashcards

(73 cards)

Start Studying
1
Q

Active joint count is a measure of _____ ______

A

inflammatory activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Three criteria for an active joint?

A
  1. effusion
  2. joint tenderness
  3. stress pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Active joint count criteria are always _______ assessed, as they progressively increase the level of stress imposed on the ____ _____

A

sequentially; joint capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Joint count ax for children?

A
  1. presence of joint swelling
    OR
  2. Limitation of motion with heat, plus overpressure pain, OR
  3. joint line tenderness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

4 steps in the exam set up?

A
  1. ensure client is relaxed and seated in a comfortable position
  2. provide pillow to support UE
  3. all jewelry must be removed
  4. explain what you are doing and inform the client of the realist
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

STOP method?

A

S - swelling
T - tenderness
OP - overpressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When in doubt, record joint at ______

A

inactive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

________ = fluid that is confined by the joint capsule but freely mobile within that space

A

effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fluctuation of fluid is detectable along the _____ ______

A

joint margins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

3 methods to measure effusion?

A
  1. 2 thumb
  2. 4 finger
  3. bulge sign
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

_____ tissue deposited about the joint may mimic an effusion

A

fatty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the difference between fatty tissue and true joint effusion?

A 
fat = soft but fixed in location and is OUTSIDE joint capsule 
effusion = fluctuation in all planes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bony enlargement and joint deformities (do/do not) constitute joint swelling.

A

do NOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In the 2 thumb technique, the pressure thumb should be directed slightly _____ from the sensor thumb to prevent a shift in ______ structure

A

away; periarticular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In the 4 finger technique, the sensor fingers must be just above the ______ _______

A

collateral ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

There may be a _____ sign over the _____ head when elbow is moved from 45 degrees of flexion to full extension

A

bulge; radial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When testing joint tenderness, apply firm pressure with enough force to blanch the examiners nail beds (T/F).

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How to test joint tenderness in clients with pain syndromes ?

A

compare pain from pressure on the joint line to an equal amount of pressure on an adjacent bone or soft tissue; for joint to be classified as active, the pain on joint palpation must be greater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Stress pain = stretching the _______ joint capsule

A

inflamed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

In stress pain, apply gentle overpressure when the joint is at the limit of its _____ range

A

passive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The # of damaged joints is related to the duration of _____ and its ______

A

disease ; aggressiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

3 strategies in treating TMJ?

A
  1. posture
  2. soft tissue
  3. regain rotation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

TMJ is often involved (later/earlier) in disease

A

later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

TMJ involvement in disease = bony erosion of mandibular ______ and joint space narrowing

A

condyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
End stage TMJ disease may result in ____ in open bite
fusion
26
ROM in TMJ: normal opening / closing ?
35-50 mm
27
ROM in TMJ: normal lateral deviation?
10-15 mm
28
ROM in TMJ: normal protrusion ?
3-6 mm
29
What 3 things are you looking for when you palpate the TMJ?
1. crepitus 2. clicking 3. locking
30
______ is common in the shoulder
synovitis
31
Thinning of the RC may lead to ______
rupture
32
Synovitis in the shoulder can cause the humeral head to migrate _______; leads to impingement of _____ and _____; and ___ joint damage
superiorly; bursae; tendons; AC
33
Synovitis will bulge out of the ___-___ fossa in the elbow
para-olecranon
34
Loss of ______ is common in elbow, leading to _____ contracture
extension; flexion
35
______ _______ joint commonly involved, leading to erosion of radial head
superior radioulnar
36
Rheumatoid nodules do not occur in the elbow (T/F).
FALSE
37
3 special tests for wrist and hand pathologies in RA?
1. piano key sign at DRUJ 2. radial collateral ligament test at MCP 3. Bunnel-Littler (hand intrinsics)
38
What structures does the piano key test test ?
1. TFCC 2. disc 3. volar and dorsal RU ligaments 4. ulnocarpal ligaments 5. ECU sheath 6. LT interosseous ligament
39
C__-__ most often involved in RA; why?
1-2; has most ligaments, joint capsules, and synovial linings due to mobility at this joint
40
Progression of instability at AA joint is associated with what 3 things?
1. steroid use 2. seropositive disease 3. RA nodules
41
Synovitis causes stretching / erosion of the ______ ligament at the AA joint
transverse
42
Erosion of ____ and _____ facets of atlas with RA
dens; superior
43
Subluxation of AA joint occurs with relative ______ translation of dens with _____ flexion of C spine
posterior; forward
44
In AA subluxation, the _____ _____ and _____ _____ are compromised
SC; vertebral artery
45
AA subluxation is prevalent is ___-___ % of RA pt's
10-55
46
AA subluxation is more likely in _____
males
47
6 s/s of AA subluxation?
1. pain, suboccipital headache 2. "heavy head" sensation 3. clunking 4. bilateral paraesthesia 5. dizziness, blurred vision 6. dysphagia
48
Many pt's with AA subluxation are asymptomatic (T/F)?
TRUE
49
From the _______ ax we determine risk and what ______ tests to do or not to do
subjective; objective
50
MUST ask pt's the __ __'s and ___ __'s in regards to C-Spine subjective
5 D's; 3 N's
51
______ nerve testing in c-spine ax w/ pt's w/ RA
cranial
52
If there is any report of paresthesia, 3N's or 5D's, abnormal cranial nerve findings or less than 40 degrees ROM do not test _______
stability
53
What 2 tests can be used to rule out anterior instability at AA joint?
1. sharp pursor | 2. anterior shear stability test
54
6 possible changes in hip due to RA?
1. synovitis 2. cartilage erosion 3. capsular pattern 4. groin pain 5. flexion deformity 6. trochanteric bursitis
55
______ cyst common in knee of pts with RA
bakers
56
______ deformity at knee may occur
flexion
57
4 changes in ankle due to RA?
1. TC synovitis 2. visible swelling 3. capsular pattern 4. shortened achilles tendon
58
______ may occur at subtalar joint
synovitis
59
Ligamentous laxity + bony erosion = ____ drops medially and plantarly; _____ drops; _____ deformity
talus; navicular; valgus
60
______ _____ tendinopathy, becomes lengthened, potential rupture
tib post
61
Loss of _______ arch = pronation and increased ______ of mid foot and toes; calcaneus _____
longitudinal; abduction; everts
62
_______ phalanx at 1st MTP drafts _______ (hallux valgus)
proximal; laterally
63
MTP subluxation = displacement of ______
flexors
64
Unopposed ______ pull the proximal phalanx into hyper-______
extensors; extension
65
Important to check _____ _____ in cases of MTP subluxation
skin integrity
66
____ ____ = long and short flexor and extensor altered biomechanics
claw toe
67
Claw toe is associated of weakness of _______
intrinsics
68
Claw toe = MTP _____, PIP and DIP ______
extension; flexion
69
Claw toes affects all the toes (T/F)
FALSE (not big toe)
70
Hammer toe = usually at ___ toe
2nd
71
Hammer toe = ____ of pip; _______ of DIP
flexion; hyperextension
72
Mallet toe = usually ____ toe
2nd
73
Mallet toe = ______ of DIP
flexion

PHTH 565 - Rheumatology (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions